JERRY BREAKSTONE

SAINT LOUIS, MO
NPI1548313562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  004868)
Enumeration Date2007-01-21
Last Update Date2007-07-08
Business Address
Mr. JERRY BREAKSTONE MSW, LCSW
7396 PERSHING AVE
SAINT LOUIS, MO 63130-4206
Phone number: 314-398-0453
Mailing Address
Mr. JERRY BREAKSTONE MSW, LCSW
7220 PRINCETON AVE
SAINT LOUIS, MO 63130-3027
Phone number: 314-398-0453